Organization
TAMER MASSARANI M.D P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMER MASSARANI M.D (PRESIDENT)
(248) 614-0124
Entity
Organization
Contact information
Practice address
1579 W BIG BEAVER RD, B-5, TROY, MI 48084-3504
(248) 614-0124
(248) 614-0126
Mailing address
1579 W BIG BEAVER RD, B-5, TROY, MI 48084-3504
(248) 614-0124
(248) 614-0126
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3506315481
BCN
MI
Enumeration date
05/21/2008
Last updated
06/25/2008
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